How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $323.59 | Facility | None | $87.10 | $117.49 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $87.10 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $19.50 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $79.43 | $81.28 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $1,174.90 | Facility | None | $309.03 | $549.54 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $251.19 Typical High $776.25 | Facility | None | $169.82 | $251.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $104.71 | $165.96 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $29.51 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $131.83 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $616.60 | Professional | None | $104.71 | $158.49 | $616.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $32.36 Typical High $154.88 | Professional | 26 · Professional part | $21.38 | $32.36 | $154.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $489.78 | Professional | TC · Technical part | $81.28 | $125.89 | $489.78 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $123.03 | $125.89 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,071.52 | Facility | None | $954.99 | $954.99 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $109.65 | $151.36 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $21.88 | $30.90 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $123.03 | $165.96 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $43.65 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $19.95 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $69.18 | $79.43 | $79.43 |
Where Illinois sits
The same service costs 5.1 times more in Alabama than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 20th of 51
$166
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.